Superco Inc
Superco Inc is a healthcare organization registered as Community/Retail Pharmacy in Vicksburg, MS, holding Type 2 (organization) NPI 1376601492 since 2006. The authorized official on file is Storey John, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376601492 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Superco Inc |
| Other name | <Unavail> |
| Practice address | 3040A INDIANA AVE, Vicksburg, MS, 39180 |
| Phone | 6016363374 |
| Fax | 6016385376 |
| Enumeration date | 2006-12-04 |
| Last updated in NPPES | 2018-07-19 |
Authorized official
| Name | Storey John |
|---|---|
| Title | Owner |
| Phone | 6016363374 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 01368/1.1 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044424 | Other | — | PK |
| 00095419 | Medicaid | MS | — |
Copy-ready billing details
Provider: Superco Inc NPI: 1376601492 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3040A INDIANA AVE, Vicksburg, MS, 39180
Verify this record
Cross-check NPI 1376601492 against the authoritative CMS record: view Superco Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Superco Inc?
Who is the authorized official for Superco Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-19.